The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The APD process allows the state to request a 90  percent match in federal funding (rather than California ’s standard 50  percent match) to design, develop, and install IT systems that enable the state to more efficiently administer Medicaid benefits.
https://lao.ca.gov/Publications/Report/5157

Considering Medi-Cal in the Midst of a Changing Fiscal and Policy Landscape

Oct 24, 2025 - As Figure  8 shows, however, states have the option under federal law to serve more populations and receive federal matching funds for services provided to them. Some of these populations, such as childless adults and children from higher ‑income households, come with larger federal matches to encourage state coverage.
https://lao.ca.gov/Publications/Report/5083

The 2025-26 Budget: CalAIM Enhanced Care Management and Community Supports Implementation Update

Mar 6, 2025 - Geographic differences can highlight regional differences in capacity or infrastructure, while differences across MCPs can also indicate differences in program implementation. As shown in Figure  9 , most MCPs have less than a 1  percent utilization rate for both ECM and Community Supports.
https://lao.ca.gov/Publications/Report/5003

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - COVID-19 Pandemic Highlighted Testing Gaps Public Health Laboratories Faced Challenges Prior to COVID-19 Pandemic Overall State and Federal Funding for Public Health Remained Flat for Decade Prior to COVID-19.
https://lao.ca.gov/Publications/Report/5056

The 2024-25 Budget: Future of Public Health Budget Solution

May 21, 2024 - COVID-19 Highlighted Disparities in Public Health Outcomes and Solution May Worsen Trend. The Future of Public Health funding also included specific funding for CDPH and LHJs to address disparities in health outcomes.
https://lao.ca.gov/Publications/Report/4904

The 2021-22 Budget: Behavioral Health: Continuum Infrastructure Funding Proposal

Feb 17, 2021 - Counties Would Be Required to Provide Matching Funds. Under this proposal, counties would be required to provide matching funds —in the amount of 25  p ercent of grant funds —in order to receive grant funding.
https://lao.ca.gov/Publications/Report/4379

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Under H.R. 1, the federal match for these services will decrease from 90  percent to 50  percent for certain undocumented adults, requiring a backfill from the General Fund to maintain existing services.
https://lao.ca.gov/Publications/Report/5092

Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services—An Interim Update

Apr 19, 2021 - For example, “institutional deeming ” and “Medicaid waiver consumer choice of services/living arrangement statement ” have been highlighted to us as areas that could use plain language. Pros. This approach would not dissuade a family from seeking RC services (as the requirement approach might) and could relieve some of the administrative burden for families.
https://lao.ca.gov/Publications/Report/4415

The 2022-23 Budget: Update on Home- and Community- Based Services Spending Plan

Feb 10, 2022 - The total cost of the HCBS enhancements is estimated to be $4.6  billion ($3  billion increased FMAP funds and $1.6  billion additional federal funds for enhancements that are also eligible to draw down the standard federal Medicaid match).
https://lao.ca.gov/Publications/Report/4524

The 2021-22 Budget: Department of Developmental Services (DDS) May Revision Budget Proposal

May 24, 2021 - The recently passed ARP Act provided one-time Medicaid funding to “enhance, expand, or strengthen ” home- and community-based services (HCBS) by increasing the federal matching rate by 10  percentage points for a one-year period.
https://lao.ca.gov/Publications/Report/4438